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Reason(s) for non-compliance: • The Lead Agency does not require pre-service or orientation training on administration of medication for substitutes in licensed centers, licensed family child care homes, or license-exempt family child care, as required by 98.44(b)(1)(i). (Plan Question 5.4.1m) • The Lead Agency annual unannounced inspection for licensed centers and licensed family child care providers, and annual inspection for license-exempt family child care providers for compliance with pre-service or orientation training requirements related to administration of medication does not cover substitutes, as required by 98.42(b)(2)(i)(B) and 98.42(b)(2)(ii). (Plan Questions 5.5.1aii, 5.5.1bii, and 5.5.2bi) Overall Target Completion Date: 05/31/2025 Action Step Number Action Step Description Target Completion Date 1 The Lead Agency does not require pre-service or orientation training on administration of medication for substitutes in licensed centers, licensed family child care homes, or license- exempt family child care, as required by 98.44(b)(1)(i). (Plan Question 5.4.1m) 05/31/2025 2 The Lead Agency will update the definition of child care staff in Title 392 regulations to include substitutes. 01/31/2025 3 The Lead Agency will add the definition of child care staff to the child care enrollment agreement. Child care substitutes will be required to complete Prepare to Care. 05/31/2025 4 The Lead Agency annual unannounced inspection for licensed centers and licensed family child care providers, and annual inspection for license- exempt family child care providers for compliance with pre-service or orientation training requirements related to administration of medication does not cover substitutes, as required by 98.42(b)(2)(i)(B) and 98.42(b)(2)(ii). (Plan Questions 5.5.1aii, 5.5.1bii, and 5.5.2bi) 05/31/2025 5 The Lead Agency will train Lead Agency staff to monitor trainings completed by child care substitutes. 05/31/2025